A nurse-managed smoking cessation intervention during pregnancy.
OBJECTIVE
To evaluate the effectiveness of a nurse-managed smoking cessation intervention in an outpatient setting among pregnant women who smoked.


METHODS
Prospective; control group participants' cessation rates were assessed 6-12 weeks after clinic contact. They were compared to cessation rates for subsequent intervention participants 6-12 weeks after receiving a nurse-managed smoking cessation intervention.


METHODS
One hundred seventy-eight women who were daily smokers, during their first visit after confirmation of pregnancy at a teaching hospital prenatal clinic.


METHODS
Fifteen-minute individualized intervention delivered by an advanced-practice nurse, combined with a telephone contact by an advanced-practice nurse 7-10 days after the clinic visit.


METHODS
Self-report of smoking, confirmed by saliva cotinine.


RESULTS
Intervention group participants had a self-reported abstinence rate of 19% compared with 0% among control group participants. The cotinine-validated abstinence rate for the intervention group was 15.5%, compared with 0% in the control group. African Americans were more likely to quit, compared with white participants who received the intervention.


CONCLUSIONS
A nurse-managed intervention combined with a telephone contact may be an effective strategy for intervening with pregnant smokers, especially African Americans.
Gebauer
C
C
Ohio State University Hospital Clinics, Columbus, USA.
Kwo
C Y
CY
Haynes
E F
EF
Wewers
M E
ME
D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D009726:Nurses; D009738:Nursing Service, Hospital; D017063:Outcome Assessment, Health Care; D010353:Patient Education as Topic; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D011446:Prospective Studies; D012907:Smoking / Q000628:therapy*; D016540:Smoking Cessation / Q000379:methods*